THIA HASELTON
NPI 1780746495
Marriage & Family Therapist in San Rafael, CA

Active since December 16, 2006PECOS Enrolled
1826 5TH AVE, SAN RAFAEL, CA 94901(415) 299-7958(628) 201-6698 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thia Haselton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THIA HASELTON (NPI 1780746495) is an individual marriage & family therapist in San Rafael, California, licensed in California (MFT 40276) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780746495
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTHIA HASELTON
Location Address1826 5TH AVESan Rafael, CA 94901-1710
Mailing Address1826 5th AveSan Rafael, CA 94901-1710 · (415) 299-7958 · Fax (628) 201-6698
Fax(628) 201-6698
Sole ProprietorYes
Enumeration DateDecember 16, 2006
Last NPPES UpdateJanuary 5, 2026
NPPES CertifiedJanuary 5, 2026
NPI 1780746495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFT 40276
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1826 5TH AVE, San Rafael, CA 94901

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Thia Haselton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thia Haselton's NPI number?

The NPI number for Thia Haselton is 1780746495. It was assigned to this individual provider in the NPPES registry on December 16, 2006.

Where is Thia Haselton located?

Thia Haselton practices at 1826 5th Ave, San Rafael, CA 94901. The listed phone number is (415) 299-7958.

What is Thia Haselton's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Thia Haselton enrolled in Medicare?

Yes. Thia Haselton is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Thia Haselton was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.